Individual provider Active NPI

Vicki Legalley

  • Phlebotomy Technician
  • Arlington, TX
National Provider Identifier
1154860500
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
46-3260446 Issued in TX
Practice address
2608 Stoneridge CT
Arlington, TX 76014-1068
Phone
(817) 896-7332
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 46-3260446 TX Primary

Addresses

Primary practice location

2608 Stoneridge CT
Arlington, TX 76014-1068

Mailing address

2608 Stoneridge CT
Arlington, TX 76014-1068
Phone (817) 896-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46-3260446TXMDPhlebotomy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1154860500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 STONERIDGE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760141068",
            "telephone_number": "817-896-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 STONERIDGE CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760141068",
            "telephone_number": "817-896-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGALLEY",
        "first_name": "VICKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "46-3260446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.